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European Archives of Oto-Rhino-Laryngology

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01-02-2011 | Head and Neck

Temperature-controlled radiofrequency tonsil ablation for the treatment of halitosis

Authors: Hasan Murat Tanyeri, Senol Polat

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2011

Abstract

The objective of the study was to evaluate the efficacy and safety of temperature-controlled radiofrequency (RF) tonsil ablation in the treatment of halitosis caused by chronic tonsillitis with caseum. The study method was retrospective. The medical records of 58 patients undergoing temperature-controlled RF tonsil ablation due to chronic tonsillitis with caseum between November 1, 2005 and November 30, 2008 were reviewed. Forty-nine (84.4%) of 58 patients reported complete disappearance of bad breath after the first treatment; five patients (8.6%) reported as having insufficient improvement and four (6.9%) patients had no change. Two patients from “insufficient group” and all four patients from “no change” group agreed to a repeat treatment. After the second session, four (6.9%) patients reported complete disappearance of halitosis with the disappearance of caseum formation. But two patients still suffered from halitosis. One of these patients underwent tonsillectomy, other patient is under our follow-up. Overall, complete elimination of halitosis was accomplished with one session in 49 (84.4%) patients, two sessions in four (6.9%) patients, making a total of 53 (91.3%) patients. Postoperative morbidities included one transient mild bleeding, one secondary bleeding and one mild edema. Temperature-controlled RF tonsil ablation is an effective method for treating halitosis which derived from chronic tonsillitis with caseum. This well-tolerated technique avoids the post-procedure morbidities and discomfort of more invasive surgical modalities currently used.

Nogueira-Filho GR, Duarte PM, Toledo S et al (2002) Effect of triclosan dentifrices on mouth volatile sulphur compounds and dental plaque trypsin-like activity during experimental gingivitis development. J Clin Periodontol 29:1067–1073CrossRef

van Steenberghe D (1997) Breath malodor. Curr Opin Periodontol 4(9):137–143PubMed

Delanghe G, Ghyselen J, Bollen C et al (1999) An inventory of patients’ response to treatment at a multidisciplinary breath odor clinic. Quintessence Int 30(5):307–310PubMed

Bosy A, Kulkarni GV, Rosenberg M et al (1994) Relationship of oral malodor to periodontitis: evidence of independence in discrete subpopulations. J Periodontol 65(1):37–46PubMed

Krespi YP, Ling EH (1994) Tonsils cryptolysis using CO2 Swift Laser. Oper Tech Otolaryngol Head Neck Surg 5:294–297CrossRef

Krespi YP, Ling EH (1994) Laser assisted serial tonsillectomy. J Otolaryngol 23:325–327PubMed

Finkelstein Y, Talmi YP, Ophir D, Berger G (2004) Laser cryptolysis for the treatment of halitosis. Otolaryngol Head Neck Surg 131(4):372–377CrossRefPubMed

Ansai T, Takehara T (2005) Tonsillolith as a halitosis-inducing factor. Br Dent J 198(5):263–264CrossRefPubMed

Bluestone CD (1992) Current indications for tonsillectomy and adenoidectomy. Ann Otol Rhinol Laryngol 155:58–64

10.

Yoshida A, Okamoto K (1988) Indications of tonsillectomy for recurrent tonsillitis. Acta Otoryngol 454:305–312CrossRef

11.

Nelson LM (2000) Radiofrequency treatment for obstructive tonsillar hypertrophy. Arch Otolaryngol Head Neck Surg 26:736–740

12.

Friedman M, LoSavio P, Ibrahim H et al (2003) Radiofrequency tonsil reduction: safety, morbidity, and efficacy. Laryngoscope 113(5):882–887CrossRefPubMed

13.

Nelson LM (2001) Temperature-controlled radiofrequency tonsil reduction: extended follow-up. Otolaryngol Head Neck Surg 125:456–461PubMed

14.

Brook I, Yocum P, Foote PA Jr (1995) Changes in the core tonsillar bacteriology of recurrent tonsillitis: 1977–1993. Clin Infect Dis 21:171–176PubMed

15.

Brook I, Foote PA Jr, Slots J, Jackson W (1993) Immune response to Prevotella intermedia in patients with recurrent nonstreptococcal tonsillitis. Ann Otol Rhinol Laryngol 102(2):113–116PubMed

16.

Claesson R, Edlund MB, Persson S et al (1990) Production of volatile sulfur compounds by various Fusobacterium species. Oral Microbiol Immunol 5(3):137–142CrossRefPubMed

17.

Li KK, Powell NB, Riley RW, Guilleminault C (2002) Temperature-controlled radiofrequency tongue base reduction for sleep-disordered breathing: long-term outcomes. Otolaryngol Head Neck Surg 127(3):230–234CrossRefPubMed

18.

Emery BE, Flexon PB (2000) Radiofrequency volumetric tissue reduction of the soft palate: a new treatment for snoring. Laryngoscope 110(7):1092–1098CrossRefPubMed

19.

Nease CJ, Krempl GA (2004) Radiofrequency treatment of turbinate hypertrophy: a randomized, blinded, placebo-controlled clinical trial. Otolaryngol Head Neck Surg 130(3):291–299CrossRefPubMed

20.

Wachtel JM, Kuehn DP, Weiss KS (2000) Hypernasality after tonsillectomy without adenoidectomy in an adult. Otolaryngol Head Neck Surg 122:112–113CrossRefPubMed

21.

Auf I, Osborne JE, Sparkes C, Khalil H (1997) Is the KTP laser effective in tonsillectomy? Clin Otolaryngol 22:145–146CrossRefPubMed

22.

Nunez DA, Provan J, Crawford M (2000) Postoperative tonsillectomy pain in pediatric patients. Arch Otolaryngol Head Neck Surg 126:837–841PubMed

23.

Hoddeson EK, Gourin CG (2009) Adult tonsillectomy: current indications and outcomes. Otolaryngol Head Neck Surg 140(1):19–22CrossRefPubMed

24.

Anand A, Vilela RJ, Guarisco JL (2005) Intracapsular versus standard tonsillectomy: review of literature. J La State Med Soc 157(5):259–261PubMed

25.

Lassaletta L, Martin G, Villafruela MA et al (1997) Pediatric tonsillectomy: post-operative morbidity comparing microsurgical bipolar dissection versus cold sharp dissection. Int J Pediatr Otorhinolaryngol 41:307–317CrossRefPubMed

26.

Hultcrantz E, Linder A, Markström A (1999) Tonsillectomy or tonsillotomy? A randomized study comparing postoperative pain and long-term effects. Int J Pediatr Otorhinolaryngol 51(3):171–176CrossRefPubMed

27.

Ilgen F (2005) Laser-assisted tonsillotomy in children with obstructive sleep apnea and adenotonsillary hyperplasia—experiences as an outpatient procedure. Laryngorhinootologie 84(9):665–670CrossRefPubMed

28.

Berger G, Finkelstein Y, Ophir D (1999) Histopathologic changes of the soft palate after laser-assisted uvulopalatoplasty. Arch Otolaryngol Head Neck Surg 125:786–790PubMed

29.

Rai MR, Parry TM, Dombrovskis A et al (2008) Remifentanil target-controlled infusion vs propofol target-controlled infusion for conscious sedation for awake fibreoptic intubation: a double-blinded randomized controlled trial. Br J Anaesth 100(1):125–130CrossRefPubMed

30.

Renna M, Chung R, Li W, Maguire C et al (2009) Remifentanil plus low-dose midazolam for outpatient sedation in transesophageal echocardiography. Int J Cardiol 136(3):325–329CrossRefPubMed

31.

Leone M, Albanèse J, Viviand X et al (2004) The effects of remifentanil on endotracheal suctioning-induced increases in intracranial pressure in head-injured patients. Anesth Analg 99(4):1193–1198CrossRefPubMed

Title: Temperature-controlled radiofrequency tonsil ablation for the treatment of halitosis
Authors: Hasan Murat Tanyeri
Senol Polat
Publication date: 01-02-2011
Publisher: Springer-Verlag
Published in: European Archives of Oto-Rhino-Laryngology / Issue 2/2011
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-010-1356-2

At a glance: The STEP trials

Springer Medicine

Temperature-controlled radiofrequency tonsil ablation for the treatment of halitosis

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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